Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,627.80 / $4,611.52 / $9,870.00	Facility		$2,627.80	$4,611.52	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $255.00 / $2,530.44	Professional		$20.19	$255.00	$2,530.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $117.19 / $258.51	Facility		$55.15	$117.19	$258.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.74 / $114.74 / $114.74	Professional		$114.74	$114.74	$114.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $439.00 / $439.00 / $439.00	Facility		$439.00	$439.00	$439.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00